CAJ | 학술논문

目的：探讨个案管理对脑卒中后抑郁(PSD)患者生活质量的影响。方法于2012年6月~2013年6月，选取广东省佛山市第一人民医院特需医疗中心住院符合入选条件的53例脑卒中后抑郁患者，按时间顺序将53例脑卒中后抑郁患者分为对照组25例和实验组28例。对照组接受常规护理，实验组接受个案管理，两组均接受出院后6个月随访。分别收集两组患者入院时、出院时及出院后3、6个月的脑卒中影响量表(SIS)、汉密尔顿抑郁量表(HAMD)，比较两组护理效果。结果两组入院时、出院时的SIS、HAMD比较，差异无统计学意义(P>0.05)，出院后3个月和6个月的SIS、HAMD实验组均优于对照组，差异均有统计学意义(P<0.01或P<0.05)。结论个案管理模式护理能够改善脑卒中后抑郁患者的生活质量。
목적：탐토개안관리대뇌졸중후억욱(PSD)환자생활질량적영향。방법우2012년6월~2013년6월，선취광동성불산시제일인민의원특수의료중심주원부합입선조건적53례뇌졸중후억욱환자，안시간순서장53례뇌졸중후억욱환자분위대조조25례화실험조28례。대조조접수상규호리，실험조접수개안관리，량조균접수출원후6개월수방。분별수집량조환자입원시、출원시급출원후3、6개월적뇌졸중영향량표(SIS)、한밀이돈억욱량표(HAMD)，비교량조호리효과。결과량조입원시、출원시적SIS、HAMD비교，차이무통계학의의(P>0.05)，출원후3개월화6개월적SIS、HAMD실험조균우우대조조，차이균유통계학의의(P<0.01혹P<0.05)。결론개안관리모식호리능구개선뇌졸중후억욱환자적생활질량。
Objective To discuss the effects of case management on quality of life in patients with post-stroke depres-sion. Methods A total of 53 PSD patients were recruited in Special Medical Center of the First People’s Hospital of Foshan City in Guangdong Province during June 2012 to June 2013, and divided into control group (25 patients) and study group (28 patients) according to time. The control group received routine care while the study group received case management, and both received 6 - month follow-up visit. Then the status of quality of life (SIS) and depression (HAMD) of all patients when admission, discharge, 3 month and 6 month after discharge respectively were collected, and the nursing effect in two groups were compared. Results When admission and discharge, the SIS and HAMD of the two group had no significant difference (P>0.05), but 3 months and 6 months after discharge, the comparative results of study group were all superior to the control group with significant differences (P< 0.01 or P< 0.05). Conclusion Case management can improve the quality of life in patients with post-stroke depression.